化痰通络法对rt-PA溶栓后急性脑梗死大鼠神经细胞凋亡及Caspase-12表达的影响

Effect on apoptosis of neural cell and Caspase-12 expression in rat cortex accepted Huatan Tongluo formula with thrombolysis pherapy after acute cerebral infarction

关键词:  化痰通络法  急性脑梗死  溶栓  凋亡途径  Caspase-12

Key words:  Huatan Tongluo therapy  acute cerebral infarction  thrombolysis  apoptosis pathway  Caspase-12

摘要:

[目的] 观察化痰通络方对急性脑梗死大鼠经重组组织纤溶酶原激活剂（rt-PA）溶栓治疗后内质网应激（ERS）神经细胞凋亡途径中半胱氨酸天冬氨酸蛋白酶12（Caspase-12）蛋白和基因表达及神经元凋亡的影响。[方法] 选择160只健康的SD大鼠，随机分为假手术组、模型组、rt-PA组和实验组共4组。采用自身栓子法制备大鼠大脑中动脉栓塞模型（MCAO），实验组与rt-PA组大鼠经尾静脉注入rt-PA（浓度：5.67mg/kg）溶栓治疗，并联合化痰通络法中药灌胃（浓度：7.2g/kg），每日2次。每组分别于为6h、24h、3d和7d 4个时相，观察梗死区域脑组织神经细胞Caspase-12蛋白和基因的表达，及神经元细胞凋亡的情况。[结果] 与假手术组相比，模型组各时相Caspase-12蛋白与基因的表达量均明显增加（P<0.05）。与模型组相比，除7d时rt-PA组Caspase-12蛋白表达减少，差异无统计学意义（P>0.05）外，rt-PA组和实验组在其他各时相Caspase-12蛋白与基因的表达均明显减少（P<0.05）。与rt-PA组相比，实验组Caspase-12基因在1d、7d时表达量明显减少（P<0.05），而Caspase-12蛋白表达差异无统计学意义（P>0.05），但有下降趋势。[结论] 化痰通络法中药可降低急性脑梗死大鼠溶栓治疗后梗死区域Caspase-12蛋白和基因的表达，该法可能通过影响该环节，进而部分抑制内质网应激后期神经细胞的凋亡，从而防治急性脑梗死溶栓后缺血/再灌注的发生与发展。

Abstract:

[Objective] To observe the effect of Huatan Tongluo therapy on the expression of Caspase-12 protein, mRNA and apoptosis of nerve cells in the late of endoplasmic reticulum stress (ERS) in rat cortex accepted thrombolysis therapy with recombinant tissue-type plasminogen activator (rt-PA) after the acute cerebral infarction. [Methods] The 160 healthy SD rats which were randomly divided into sham group, model group, rt-PA group and experimental group. By using the MCAO rat model, the rats in rt-PA group and experimental group were injected rt-PA (concentration of 5.67 mg/kg), and those of experiment group were given Chinese herb of Huatan Tongluo therapy (concentration of 7.2 g/kg), 2 times a day , and each group was observed at four time points: 6h, 1d, 3d and 7d. And then respectively observe the gene expression of Caspase-12 protein and mRNA, and the apoptosis in rats' brain neurons. [Results] Compared with sham group, the expression of Caspase-12 protein and mRNA increased significantly (P<0.05). Compared with model group, the expression of Caspase-12 protein and mRNA increased significantly (P<0.05) except 7d which had no significant difference (P>0.05). Compared with rt-PA group, the expression levels of Caspase-12 mRNA of experiment group at 1d and 7d were significantly lower, and the protein had no significant difference with others (P>0.05), but with down trend. [Conclusion] Huatan Tongluo therapy can reduce the activation of Caspase-12 protein and mRNA in ERS, and inhibit the apoptosis of nerve cells, prevent reperfusion injury after acute cerebra accepted thrombolysis.